Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.92 / $188.54 / $298.89	Facility		$64.92	$188.54	$298.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $25.49 / $64.92	Professional		$22.62	$25.49	$64.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.55 / $53.55 / $53.55	Facility		$53.55	$53.55	$53.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $22.30 / $27.88	Professional		$14.16	$22.30	$27.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $16.89	Facility		$16.89	$16.89	$16.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $77.52	Professional		$19.38	$19.38	$77.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $74.61 / $124.99	Facility		$67.83	$74.61	$124.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $43.61 / $43.61	Professional		$17.44	$43.61	$43.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $16.89 / $67.83	Facility		$16.89	$16.89	$67.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $25.05	Professional		$19.38	$19.38	$25.05
United Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $38.76 / $58.47	Professional		$12.19	$38.76	$58.47